Prevalence of Exclusive Breastfeeding and Factors Associated With Exclusive Breastfeeding of Children in Trongsa District, Bhutan

Tshering, Dolley; Gurung, Mongal Singh; Wangmo, Neyzang; Pelzom, Dorji; Tejativaddhana, Phudit; Dzed, Laigden

doi:10.1177/1010539518768573

Cited by 6 publications

(8 citation statements)

References 21 publications

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“…e present study found slightly less than three-fourths of the babies were exclusively breast fed (EBF) for complete 6 months of age. However, several other studies conducted in different [24], and other studies conducted in Nepal [25][26][27], south India [28], Trongsa District, Bhutan [29], northwest Ethiopia [30], and Jimma town, southwest Ethiopia [31] reported a lower proportion of the babies were exclusively breast fed for 6 months than the present study. In contrast to this study, another study conducted in Chepang communities of Makawanpur district, Nepal [32], and Northwest Ethiopia [33] found that higher proportion of the babies were exclusive breast fed until 6 months.…”

Section: Discussioncontrasting

confidence: 88%

Determinant of Mother’s Health Promotional Measures Practice of Infant with Age 6–12 Months in a Tertiary Hospital of Nepal

Bhusal

2021

Advances in Preventive Medicine

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Background. Promotion of health is vital for the optimal growth and development of every infant. Globally, many infants died due to common problems such as diarrhoea and respiratory infection; most of these problems are related to inadequate breast feeding, improper complimentary feeding, lack of immunization, and home accident. Infant and child health status depends upon mothers’ knowledge and practice regarding health promotional measures. This study aimed to determine practice and its determinants regarding health promotional measures of infant with 6–12 months age amongst the mothers attending Pediatrics Outpatient Department of Universal College of Medical Science and Teaching Hospital, Bhairahawa, Rupandehi, Nepal. Methods. Hospital-based cross-sectional study was conducted in Universal College of Medical Science, Bhairahawa, Rupandehi, Nepal, among 414 mothers attending pediatrics outpatient department from September 2019–March 2020. Purposive sampling technique was used to select mothers of infants aged 6–12 months. Bivariate analysis was used primarily to assess the association between dependent and independent variables. Variables which were associated in bivariate analysis with p < 0.05 were entered into a multivariable logistic regression model to identify associated factors of health promotional measures. The goodness of fit of multivariate logistic regression was checked by Nagelkerke R square and variation inflation factor. Results. The mean age and family size was 25.89 ± 4.81 years and 5.94 ± 2.48, respectively. A total of 71.5% mothers have good practice of health promotional measures. Mothers from Dalit caste (adjusted odds ratio = 0.04, confidence interval: 0.005–0.30), mothers with below school leaving certificate education (AOR = 0.08, CI: 0.02–0.27), fathers engaged in nonagricultural work (AOR = 7.21, CI: 2.59–20.11), birth space of index child greater than 2 years (AOR = 12.88, CI: 3.49–47.58), and family monthly income greater than 20000 Nepalese rupees (AOR = 3.29, CI: 1.16–13.32 were significantly associated with good practice of health promotional measures. Conclusions. More than one-fourth of the mothers have poor practice of health promotional measures. Ethnicity, mothers’ education, fathers’ occupation, birth space of index child, and family monthly income were found to be independent determinants of practice of health promotion measures. Thus, policy makers should provide specific education regarding health promotional measures to both parents.

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Section: Discussioncontrasting

confidence: 88%

Determinant of Mother’s Health Promotional Measures Practice of Infant with Age 6–12 Months in a Tertiary Hospital of Nepal

Bhusal

2021

Advances in Preventive Medicine

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“…Bhutan is in an advanced stage to launch the “accelerating mother and child health care—1000 golden day plus allowance.” This conditional cash transfer mechanism is expected to boost achievements in institutional delivery and other related indicators such as exclusive breastfeeding. 17 However, it may not address the issue of inequity as per Indonesian experience. 18…”

Section: Discussionmentioning

confidence: 99%

“…This conditional cash transfer mechanism is expected to boost achievements in institutional delivery and other related indicators such as exclusive breastfeeding. 17 However, it may not address the issue of inequity as per Indonesian experience. 18 Following are some of the recommendations to overcome the barriers to institutional deliveries highlighted by this study: (1) Simple needs-based interventions such as improving the heating system and providing warm clothes to be used after being discharged from the health centers coupled with awareness on the importance of an institutional delivery could encourage women in cold places to come to health centers for their delivery.…”

Section: Discussionmentioning

confidence: 99%

Barriers to Institutional Delivery Services in Districts With the Lowest Institutional Delivery Coverage in Bhutan

Gurung

Wangdi

Lethro

et al. 2020

Asia Pac J Public Health

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Bhutan aims to achieve 100% institutional delivery coverage. While evidence indicates improved institutional delivery coverage over the years, coverage in some of the districts is only 49%. This study was aimed at exploring barriers to institutional delivery in 3 low-coverage districts. In-depth qualitative interviews and 6 focus group discussions were conducted in December 2015. The analysis was done as per the Braun and Clarke’s 6-phase guide to doing thematic analysis. This study sheds light on 15 barriers for institutional deliveries, which include hesitancy to seek health care when the pregnancy is out of wedlock, the restriction of alcohol consumption at health centers, fear of hypothermia in cold places, pastoralism, health care providers shortage, lack of maternity waiting home and food, distance, difficult terrain, lack of transportation services, and financial constraints. Some of these barriers could be unique to Bhutan. The coverage could be improved considerably if the recommendations in this article are implemented.

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“…Another study evaluated exclusive breastfeeding for 5 months or more in Sri-Lanka to be 81.3% the difference may be attributed to the duration of evaluation of breastfeeding [11]. Also in Bhutan which was ranked the lowest country in the South Asian region for exclusive breastfeeding according to the WHO, reported the prevalence of exclusive breastfeeding practice decreased with age from 97% at 1 month to 58% for 5-to 6-month-old infants [12]. Table 2 shows that the studied lactating mothers don't use syringe and fingers, tube and fingers and nipple shield, as regard the most frequently used alternative techniques,tight nipple bottles are used once, till 5 times and more than 5 times in (6.7%, 22.5% & 27.0%) respectively, followed by Syringe which are used once, till 5 times and more than 5 times in (11.4%, 23.9% & 9.1%) respectively, wide nipple bottles are used in only 18%, followed by cups and feeding tubes (7.9% & 5.7%) respectively.…”

Section: Discussionmentioning

confidence: 99%

Alternative Feeding Techniques and Its Effect on Breastfeeding Self-Efficacy

Hussien¹,

Refaat²,

Arafa³

2019

JFMHC

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Breastfeeding self-efficacy is the main part for the success of breastfeeding, achieved by the support from the family and from the community. Self-efficacy is the one's belief in their capabilities, directly related to behavior, feeling, thoughts and motivation of the person. Successful experience increases mom's self-efficacy, and leads to better breastfeeding. This is a cognitive theory that assess mom's self-confidence to breastfeed her baby rather than whether she do succeed to breastfeeding. This paper intended to explore the alternative techniques used to overcome the challenges to exclusive breastfeeding and evaluate breastfeeding self-efficacy of mothers who used alternative techniques. The study is a cross sectional study in Al-Aslogy family health unit, Zagazig city, on women who gave birth to a healthy term baby and initiated breastfeeding in the first seven days postpartum, mothers were interviewed for the Breastfeeding self-efficacy and using alternative techniques for child feeding. This paper revealed that the mean score of Breast-feeding Self-efficacy Scale is 39.93±5.81 in very low social class versus 56.6±13.33 in high social class with high statistically significant difference and the mean score of BFSE-Score is also statistically higher with exclusive breast feeding than in mothers who used alternative techniques (55.35±7.09 versus 40.34±7.81) respectively (p=0.000). It was concluded that Breast-feeding Self-efficacy Score is higher with exclusive breast feeding than with the use of alternative techniques.

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Prevalence of Exclusive Breastfeeding and Factors Associated With Exclusive Breastfeeding of Children in Trongsa District, Bhutan

Cited by 6 publications

References 21 publications

Determinant of Mother’s Health Promotional Measures Practice of Infant with Age 6–12 Months in a Tertiary Hospital of Nepal

Determinant of Mother’s Health Promotional Measures Practice of Infant with Age 6–12 Months in a Tertiary Hospital of Nepal

Barriers to Institutional Delivery Services in Districts With the Lowest Institutional Delivery Coverage in Bhutan

Alternative Feeding Techniques and Its Effect on Breastfeeding Self-Efficacy

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